| NPI | 1427496777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY B JONES CFO 704-986-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2021-03-31 |